Provider Demographics
NPI:1811696610
Name:MUNA BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:MUNA BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUCHARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IHEM
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:609-635-5039
Mailing Address - Street 1:6 COLONIAL LAKE DR STE D
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4126
Mailing Address - Country:US
Mailing Address - Phone:609-635-5039
Mailing Address - Fax:
Practice Address - Street 1:6 COLONIAL LAKE DR STE D
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4126
Practice Address - Country:US
Practice Address - Phone:609-635-5039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty